Miljković J, Belic M, Godić A, Klemenc P, Marin J
Department of Dermatology and Venereology, General Hospital Maribor, Ljubljanska 5, 2000 Maribor.
Acta Dermatovenerol Alp Pannonica Adriat. 2006 Jun;15(2):94-7.
Lichen planus (LP) is a relatively common papulosquamous skin disease of unknown etiology, it is believed to be a T-cell mediated disorder. In addition to the cutaneous eruptions it may also affect mucous membranes, nails or cause scarring alopecia. Lichen planus appears in various clinical variants which are categorized according to the morphology and configuration of lesions. We present a 34-year-old man who developed a papular eruption localized unilaterally on the right side of the body in a linear-zosteriform pattern within the L5-S1 nerve segments. The skin lesions clinically and histologically mimicked LP. Topical treatment with betamethason ointment for one month led to remarkable improvement, but a zosteriform hiperpigmentation persisted. According to the clinical findings in our patient and a review of the literature, we believe that lichenoidzosteriform eruption is a variant of lichen planus or a herpes zoster infection.
扁平苔藓(LP)是一种病因不明的相对常见的丘疹鳞屑性皮肤病,被认为是一种T细胞介导的疾病。除皮肤疹外,它还可能影响黏膜、指甲或导致瘢痕性脱发。扁平苔藓有多种临床变体,根据病变的形态和形态进行分类。我们报告一名34岁男性,其在L5-S1神经节段内以线状带状疱疹样模式单侧出现在身体右侧的丘疹性皮疹。皮肤病变在临床和组织学上模仿扁平苔藓。外用倍他米松软膏治疗一个月后有显著改善,但带状疱疹样色素沉着持续存在。根据我们患者的临床发现和文献回顾,我们认为苔藓样带状疱疹样皮疹是扁平苔藓的一种变体或带状疱疹感染。